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1861449167
WILLIAM ELLERT
PHOENIX, AZ
NPI
1861449167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 28129)
Enumeration Date
2006-05-30
Last Update Date
2012-04-27
Business Address
-- WILLIAM ELLERT MD
2927 N 7TH AVE
PHOENIX, AZ 85013-4102
Phone number: 602-406-3153
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Mailing Address
-- WILLIAM ELLERT MD
FILE 56765
LOS ANGELES, CA 90074-6765
Phone number: 602-406-3860
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